NPI age
12 years
Enumerated 2013-08-20
Across 279 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003162470A | |
| 05 (LA) | 1174173 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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